High Volume Injection
High Volume Injections are highly effective for conditions like frozen shoulder, expanding the tight capsule restricting movement.
The procedure involves a fluid injected under ultrasound guidance to stretch or separate tissues that have become tight, painful, or inflamed. The solution often contains a mixture of local anaesthetic, steroid, and saline. By increasing the volume within a space, the injection can release tension, reduce sensitivity, and restore movement.
All procedures will include a targeted diagnostic scan of the area of concern.
This approach is commonly used in frozen shoulder, where the joint capsule becomes tight and restricts movement. It can also be used in tendinopathy (tendon problems), such as problems with the Achilles tendon or patellar tendon, where painful tissues are separated from the underlying fat pad. The aim is to reduce pain and allow rehabilitation to progress more effectively.
Conditions that can be treated with this method include:
- Frozen shoulder - In cases of adhesive capsulitis, the injection expands the tight capsule of the shoulder joint, often resulting in rapid improvement in movement and function.
- Achilles tendinopathy - A high volume injection can be used to separate the tendon from the surrounding fat pad, easing pain and sensitivity and supporting rehabilitation.
- Patellar tendinopathy - Similar to the Achilles, this procedure can reduce pain in the tendon below the kneecap, improving tolerance of exercise and activity.
FAQs
What are the benefits of a high volume injection?
Improved range of movement - In frozen shoulder, patients often notice better movement almost immediately, with further gains over the following weeks.
Reduced pain - The injection reduces inflammation and mechanical irritation in tendinopathy, making daily activity more comfortable.
Support for rehabilitation - By calming pain, patients can continue with physiotherapy or exercise programmes, which is key to long term recovery.
Minimally invasive - The procedure is quick, performed under ultrasound guidance, and requires only a short recovery time.
How do I know if need a high volume injection?
If you have a frozen shoulder with severe stiffness or a tendon problem that is not improving with exercise and simple treatments, a high volume injection may help. It is used to release tight structures and reduce pain so that movement can return.
If, during your consultation, you or our radiology specialist decide to change the treatment plan or not proceed, we’ll adjust the booking and update the price accordingly.
When should I see a doctor?
You should seek advice if pain or stiffness is lasting more than a few weeks, is stopping you from lifting your arm, walking comfortably, or exercising, or if it is interfering with daily life and sleep.
Are there any risks of high volume injections?
Side effects are uncommon. You may have mild pain or bruising at the injection site. There is a small risk of infection.
In tendon cases, exercise should be built up gradually after the injection to avoid overload.
What we do
- Consultant led ultrasound imaging
- Comfortable, informative sessions to give clarity on your health concerns
- Referrals, advice and suggested treatment plans if anything needs taken further
Unsure what support you need?
Book an initial consultation with one of our senior consultants to advise on your concerns.
